Organization Active NPI

Committed to Change

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MD
National Provider Identifier
1083972459
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
D0058483 Issued in MD
Legal business name
COMMITTED TO CHANGE
Practice address
8965 Guilford Rd
Suite 150
Columbia, MD 21046-2384
Phone
(410) 290-8800
Fax
(410) 290-8870
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rajendra Lowtan, M.D.NPI 1467474049
Title
Medical Director
Phone
(410) 290-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X D0058483 MD Primary

Addresses

Primary practice location

8965 Guilford Rd
Suite 150
Columbia, MD 21046-2384

Mailing address

8965 Guilford Rd
Suite 150
Columbia, MD 21046-2384
Phone (410) 290-8800

Other identifiers 1

IdentifierTypeStateIssuer
403435002MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Committed to Changepc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1083972459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8965 GUILFORD RD",
            "address_2": "SUITE 150",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462384",
            "telephone_number": "410-290-8800",
            "fax_number": "410-290-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8965 GUILFORD RD",
            "address_2": "SUITE 150",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462384",
            "telephone_number": "410-290-8800",
            "fax_number": "410-290-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTED TO CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "LOWTAN",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-290-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "D0058483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403435002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.